LAURIE A WAGNON - Pharmacist License in Illinois | # 049090938

LAURIE A WAGNON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090938

License Status

NOT RENEWED

Business

N

First Name

LAURIE A

Last Name

WAGNON

Business Name

LAURIE A WAGNON

Original Issue Date

08/18/1989

Effective Date

03/24/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015